心力衰竭患者照顾者自我护理贡献量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2022.13.008

摘要/Abstract

摘要：

目的汉化欧洲心力衰竭患者照顾者自我护理贡献量表（the European Heart Failure Self-care Behaviour Scale for Caregivers,EHFScBS-C）,并检验其信效度。方法依照Brislin模型对原量表进行翻译和回译,经文化调适和预测试后,形成中文版EHFScBS-C。采用便利抽样法,2021年8月—11月对山东省3所三级甲等医院心力衰竭门诊就诊的336例慢性心力衰竭患者照顾者进行调查,并随机抽取34名照顾者于调查2周后通过电话或微信随访收集重测问卷资料,以评价该量表的信效度。结果中文版EHFScBS-C共9个条目,经探索性因子分析共提取2个公因子,分别命名为对医疗问题相关自我护理的贡献、对生活方式相关自我护理的贡献,累计方差贡献率为67.453%。验证性因子分析支持一阶二因子模型假设,各项拟合指标均在可接受水平。中文版EHFScBS-C条目的内容效度指数为0.83~1.00,量表的内容效度指数为0.97。量表总体的Cronbach’s α系数为0.873,重测信度为0.858。结论中文版EHFScBS-C具有良好的信效度,可作为评估照顾者对慢性心力衰竭患者自我护理贡献度的可靠工具。

关键词: 照顾者, 心力衰竭, 自我护理, 贡献, 信度, 效度

Abstract:

Objective To translate the European Heart Failure Self-care Behaviour Scale for Caregivers （EHFScBS-C） into Chinese,and to test its reliability and validity. Methods The English version of EHFScBS-C was translated into Chinese and back translated according to the Brislin model. The Chinese version of the scale was determined after cross-cultural adaptation and pre-experiment. A convenience sample of 336 caregivers of patients with chronic heart failure in outpatient settings of 3 tertiary hospitals in Shandong Province were investigated. The test-retest data of 34 caregivers were collected by the follow-up of telephone or Wechat. The reliability and validity of the scale were evaluated. Results The Chinese version of EHFScBS-C contained 9 items. Exploratory factor analysis showed that a total of 2 factors were extracted explaining 67.453% of the total variance,namely caregiver’s contributions to self-care related to medical issues and caregiver’s contributions to self-care related to lifestyle. Confirmatory factor analysis supported the hypothesis of first-order two-factor model,and all fitting indexes were at acceptable level. The item-level content validity index of the Chinese version of EHFScBS-C was 0.83~1.00,and the scale-level content validity index was 0.97. The Cronbach’s α coefficient of the total scale was 0.873,and the test-retest reliability of the total scale was 0.858. Conclusion The Chinese version of EHFScBS-C has good reliability and validity,and it can be used as a reliable tool to evaluate caregiver contributions to heart failure self-care.

Key words: Caregiver, Heart Failure, Self-Care, Contribution, Reliability, Validity

王凯选, 李培宇, 王文远, 王思义, 时萧寒, 刘志梅. 心力衰竭患者照顾者自我护理贡献量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(13): 1585-1590.

WANG Kaixuan, LI Peiyu, WANG Wenyuan, WANG Siyi, SHI Xiaohan, LIU Zhimei. The sinicization of the European Heart Failure Self-care Behaviour Scale for Caregivers and the test of its reliability and validity[J]. Chinese Journal of Nursing, 2022, 57(13): 1585-1590.

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参考文献 26

[1]	Savarese G, Lund LH. Global public health burden of heart failure[J]. Card Fail Rev, 2017, 3(1):7-11. DOI URL
[2]	中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2020概要[J]. 中国循环杂志, 2021, 36(6):521-545.
	The Writing Committee of the Report on Cardiovascular Health and Diseases in China. Report on cardiovascular health and diseases burden in China:an updated summary of 2020[J]. Chin Circ J, 2021, 36(6):521-545.
[3]	Riegel B, Dickson VV, Faulkner KM. The situation-specific theory of heart failure self-care[J]. J Cardiovasc Nurs, 2016, 31(3):226-235. DOI URL
[4]	范文海, 刘悦, 李春霞, 等. 慢性心力衰竭患者照护者居家照护体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(4):424-431. DOI
	Fan WH, Liu Y, Li CX, et al. The experience of informal caregivers caring for patients with chronic heart failure at home:a meta-synthesis of qualitative studies[J]. Chin J Nurs, 2022, 57(4):424-431.
[5]	Vellone E, Chung ML, Cocchieri A, et al. Effects of self-care on quality of life in adults with heart failure and their spousal caregivers[J]. J Fam Nurs, 2014, 20(1):120-141. DOI PMID
[6]	Durante A, Paturzo M, Mottola A, et al. Caregiver contribution to self-care in patients with heart failure:a qualitative descriptive study[J]. J Cardiovasc Nurs, 2019, 34(2):E28-E35.
[7]	Uchmanowicz I, Faulkner KM, Vellone E, et al. Heart failure care:testing dyadic dynamics using the actor-partner interdependence model(APIM)-A scoping review[J]. Int J Environ Res Public Heal, 2022, 19(4):1919.
[8]	Durante A, de Maria M, Boyne J, et al. Development and psychometric testing of the European Heart Failure Self-Care Behaviour Scale caregiver version(EHFScB-C)[J]. Patient Educ Couns, 2021, 104(8):2106-2111. DOI PMID
[9]	王晓娇, 夏海鸥. 基于Brislin经典回译模型的新型翻译模型的构建及应用[J]. 护理学杂志, 2016, 31(7):61-63.
	Wang XJ, Xia HO. Construction and application of a new translation model based on Brislin’s classical back translation model[J]. J Nurs Sci, 2016, 31(7):61-63.
[10]	Perneger TV, Courvoisier DS, Hudelson PM, et al. Sample size for pre-tests of questionnaires[J]. Qual Life Res, 2015, 24(1):147-151. DOI PMID
[11]	中华医学会心血管病学分会心力衰竭学组, 中国医师协会心力衰竭专业委员会, 中华心血管病杂志编辑委员会. 中国心力衰竭诊断和治疗指南2018[J]. 中华心血管病杂志, 2018, 46(10):760-789.
	Heart Failure Group of Chinese Society of Cardiology of Chinese Medical Association, Chinese Heart Failure Association of Chinese Medical Doctor Association,Editorial Board of Chinese Journal of Cardiology. Chinese guidelines for the diagnosis and treatment of heart failure 2018[J]. Chin J Cardiol, 2018, 46(10):760-789.
[12]	李峥, 刘宇. 护理学研究方法[M]. 2版. 北京:人民卫生出版社, 2018.
	Li Z, Liu Y. Nursing research methods[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018.
[13]	吴明隆. 问卷统计分析实务-SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
	Wu ML. Questionnaire statistical analysis practice:SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010.
[14]	杨洁梅, 杨巧红, 李耀霞, 等. 妊娠期糖尿病孕妇生活质量量表的汉化和信效度检验[J]. 中华护理杂志, 2021, 56(5):795-800. DOI
	Yang JM, Yang QH, Li YX, et al. Sinicization,reliability and validity of the Quality of Life Scale in Women with Gestational Diabetes Mellitus[J]. Chin J Nurs, 2021, 56(5):795-800.
[15]	张学颖, 尹雪梅, 张晓翠, 等. 新生儿重症监护室父亲支持量表的汉化及信效度检验[J]. 中华护理杂志, 2021, 56(8):1275-1280. DOI
	Zhang XY, Yin XM, Zhang XC, et al. The reliability and validity of the translated Chinese version of the Fathers’ Support Scale:Neonatal Intensive Care Unit[J]. Chin J Nurs, 2021, 56(8):1275-1280.
[16]	Bujang MA. A simplified guide to determination of sample size requirements for estimating the value of intraclass correlation coefficient:a review[J]. J Dent Sci, 2017, 12(1):1-11. DOI URL
[17]	Hawkins MAW, Dolansky MA, Levin JB, et al. Cognitive function and health literacy are independently associated with heart failure knowledge[J]. Heart Lung, 2016, 45(5):386-391. DOI PMID
[18]	荣泰生. AMOS与研究方法[M]. 2版. 重庆: 重庆大学出版社, 2010.
	Rong TS. AMOS and research methods[M]. 2nd ed. Chongqing: Chongqing University Press, 2010.
[19]	张晨, 周云仙. 我国护理测量工具文献中内容效度指数应用误区分析[J]. 护理学杂志, 2020, 35(4):86-88,92.
	Zhang C, Zhou YX. Analysis on errors regarding content validity index used in evaluation of measurement tools in Chinese nursing literature[J]. J Nurs Sci, 2020, 35(4):86-88,92.
[20]	李雯, 魏丽丽, 张艳, 等. 产妇出院指导质量量表的汉化及信效度检验[J]. 中华护理杂志, 2021, 56(2):315-320. DOI
	Li W, Wei LL, Zhang Y, et al. The Chinese version translation of the Quality Scale of Maternal Discharge Guidance and its reliability and validity test[J]. Chin J Nurs, 2021, 56(2):315-320.
[21]	赵小燕, 黄秀秀, 万巧琴, 等. 安宁疗护自我报告实践量表的汉化和信度效度检验[J]. 中国护理管理, 2021, 21(9):1309-1313.
	Zhao XY, Huang XX, Wan QQ, et al. Reliability and validity of the Chinese version of the Palliative Care Self-Reported Practices Scale[J]. Chin Nurs Manag, 2021, 21(9):1309-1313.
[22]	Vellone E, Riegel B, Alvaro R. A situation-specific theory of caregiver contributions to heart failure self-care[J]. J Cardiovasc Nurs, 2019, 34(2):166-173. DOI PMID
[23]	杨贝贝, 郑战战, 忻笑, 等. 照护者疾病管理对慢性心力衰竭患者自我管理行为的影响[J]. 上海交通大学学报(医学版), 2018,
38	4):416-421.
	Yang BB, Zheng ZZ, Xin X, et al. Impact of disease management of caregivers on self-management behaviors among patients with chronic heart failure[J]. J Shanghai Jiao Tong Univ Med Sci, 2018, 38(4):416-421.
[24]	Chen YX, Zou HJ, Zhang YT, et al. Family caregiver contribution to self-care of heart failure:an application of the information-motivation-behavioral skills model[J]. J Cardiovasc Nurs, 2017, 32(6):576-583. DOI URL
[25]	丁春戈, 梅永霞, 林蓓蕾, 等. 二元应对在慢性病患者及其配偶中的应用进展[J]. 中华护理杂志, 2018, 53(5):626-630.
	Ding CG, Mei YX, Lin BL, et al. The application of dyadic coping in patients with chronic diseases and their spouses[J]. Chin J Nurs, 2018, 53(5):626-630.
[26]	Lee CS, Sethares KA, Thompson JH, et al. Patterns of heart failure dyadic illness management:the important role of gender[J]. J Cardiovasc Nurs, 2020, 35(5):416-422. DOI URL